dr. diarmuid quinlan, mps gp glanmire
DESCRIPTION
The Quality agenda for safer and better Healthcare in General Practice/Primary CareTRANSCRIPT
Medical Protection Society .
‘Clinical Risk Self Assessment
.
- Its role in General Practice’
National Primary Care Conference 2013Dr Diarmuid Quinlan
“Primum non nocere”.
.
.
“Medication errors kill more
people than motor vehicle
collisions1”
1.Increase in US Medication-Error Deaths between 1983 and 1993. The Lancet. 351:643–644, 1998
MPS: Claims in GP 2007-2011 Ireland UK• Claims increased by................. 20% 47%
• Size of claim increased by.........37% 26%
Road Deaths Eire1
• 2012------162• 2011------186• 2010------212• 2009------238• 2008------279
Gay ByrneChair RSA 2006
1. http://www.rsa.ie/RSA/Road-Safety/Our-Research/Deaths-injuries-on-Irish-roads/
Magic bullet....and other myths.
Clinical Risk Self Assessment
Survey : practice safety cultureFull day visitAll team participateStaff interviewsWorkshop
...Individual Report.
“All changed, changed utterly:A terrible beauty is born”
Easter 1916.
.
All the kings horses,
All the kings men,
Couldn’t put Humpty
Together again.......
Building.......a Safety Culture.
“All changed, changed utterly:A terrible beauty is born”
Easter 1916.
Under the microscope..............
“I gave your baby the wrong vaccine”.
“Methotrexate; We can do better”Multi practice audit
“Compliance with 2012 IMB guidelines”
• Prescribing 0% ------- 65%• Blood tests 21%-------95%
• Immunosuppression 0%---------94%• “Pop up alerts” 7%---------30%• Flu Vaccine 63%-------85%
Excessive blood testing curtailed !!
Ask yourself one question: "Do I feel lucky?" ......Well do ya....Doctor?.
Is Ireland the Fax Capital
of the Western World?
.
“All changed, changed utterly:A terrible beauty is born”
Easter 1916.